Upper Cross SyndromeNCT06738238
Comparative Effects of Eldova Technique and Corrective Exercises in Upper Cross Syndrome
A study testing ELDOA and CORRECTIVE EXERCISES in people with Upper Cross Syndrome, run by Riphah International University at 1 site in Pakistan.
Trial summary
The objective of the study is to compare the effects of ELDOA technique and corrective exercises in Upper cross syndrome. The study will be randomized control trial including two experimental groups having 42 participants in each group. Read more about this study
- Who is it for?
- Ages 15 to 35 years
- Conditions the study is for
- Upper Cross Syndrome
- What is being tested?
- ELDOA and CORRECTIVE EXERCISES
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 84 participants
- Where
- 1 sitePakistan
- Study dates
- 1 May 2024to 13 Dec 2024
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 35 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Male and Female subjects
- Age between 15 to 35 years
- Subjects with scapular dyskinesia
- Subject with rounded shoulders
Who cannot join
- Subjects with cervical discogenic pain
- Subjects with spinal stenosis
- Cervical spine surgery
Trial locations and contacts
1 site in 1 country.
About this study
Official title: To Compare Effects of Eldova Technique and Corrective Exercises in Upper Cross Syndrome
The objective of the study is to compare the effects of ELDOA technique and corrective exercises in Upper cross syndrome. The study will be randomized control trial including two experimental groups having 42 participants in each group.
Read the detailed description
Musculoskeletal disorders are most common among people aged between 20 to 50 years with primary complaint of headache and neck pain due to their abnormal posture for prolong time. Upper cross syndrome refers to a specific muscles imbalance in upper quadrant of the body. Which brings postural deviation and may affects cervicothoracic and glenohumeral joints movements.Upper cross syndrome alters muscle activation pattern in the neck, trunk and scapula muscles and affect movement pattern of scapula along with postural deviation. These abnormalities lead to various musculoskeletal symptoms in the upper body.Upper cross syndrome is also referred as cervical cross syndrome is described as predictive pattern of alternative tightness and weakness of upper traps, pectoralis muscles, leavator scapulae, rhomboid, and serratus anterior and deep flexors of the neck. These muscles changes also alter the stability of glenohumeral joint stability which end up in more abduction due to the tightness of levator scapulae muscle.Due to the weakness of serratus anterior muscle, which affect the stability of scapula and alter the movement pattern of the scapula than lead to scapular dyskinesia.Scapular dyskinesia is a term that refers to, the alteration in the function and position of scapula. Scapular dyskinesis is further divided in two separates groups, static scapular positional(the asymmetry in the scapular resting position which can be observed by looking to the scapula in which inferior border is prominent and dynamic scapular stability (the alteration in the scapular motion with arm alleviation due alteration in scapular stabilizer muscles). The clinical assessment of scapula have three methods (A) direct observation (Lateral scapular slide test,(B) manually assisted movements(scapular assistance test),(C) assessment of surrounding structures. Scapula dyskinesia can be treated by stretching of the tight muscles and strengthening of the weak muscles. As mention earlier weakness of lower trap, med trap, serratus anterior and tightness of upper trap, pects muscles and levator scapulae occur with upper cross syndrome which can lead to scapula alteration, rounded shoulder and forward head posture. Due to abnormal posture of cervical in upper cross syndrome can cause forward head syndrome . Hyperextension of upper cervical(C1/C2) and hyper flexion of lower cervical (C3-C7) is referred to Forward head posture. Many studies have been conducted regarding treatment of upper cross syndrome through stretching and strengthening but the gap in previous literature is that there is no study designed yet to evaluate and compare both eldova technique and corrective exercises. Current study had addressed the comparison of eldova technique and corrective exercises in upper cross syndrome with the aim of evaluating and identifying the most effective intervention for managing this specific condition, the integration of Eldova techniques and corrective exercises in Upper cross syndrome management offers a holistic approach that addresses both structural and functional aspects, aiming for optimal outcomes in pain relief, postural correction, and functional restoration.
- Conditions
- Upper Cross Syndrome
- Being tested
- ELDOA, CORRECTIVE EXERCISES
- Keywords
- Upper cross syndrome, ELDOA, Corrective exercises
- Medical subject headings
- Oculocerebral hypopigmentation syndrome type Preus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ELDOAOther
In this, each position will be maintained for 1 minute Level: C0/C1/C2 The patient is side lying with bottom arm folded under the head and maintain the neck in a horizontal position with the spine. the bottom leg is bent to stabilize the torso in a vertical position.
Level: C4/C5 Patient lying in supine position and raise both hand arm towards the roof of the room with extended wrist. Bilateral knee to chest with planter flexion at ankle joint.
Level: C5/C6 Same position as for c4/c5 with the arms will be elevated 120 degree Level C6/C7 Supine position with one arm abducted 90 degree and wrist joint at extension and the other hand abducted 30degrees with wrist joint at extension and one leg knee to chest and one leg raise with knee extension and planter flexion at ankle joint.
Level: T4/T5 Quadruped position with one arm abducted 90degrees with wrist at extension Level: T6/T7. Conventional TX is Hot Pack, Tens for 10min. Patient is assessed through baseline, week 1, week 2 and week 4.
CORRECTIVE EXERCISESOther
All position will be held for 10 seconds. Initial phase Duration of this phase is 2 weeks. Exercise 1: lying supine on a foam roll with different abduction angles Exercise 2: side lying with external rotation Exercise 3: side lying with forward flexion Exercise 4: standing diagonal flexion Exercise 5: military press Improvement phase. Duration of this phase is 1 week we only add thera- band and dumbbells to the previously mentioned exercises Exercise 1: side lying external rotation with dumbbell Exercise 2: side lying forward flexion with dumbbell Exercise 3: standing diagonal flexion with thera-band Exercise 4: standing external rotation with thera band. Exercise 5: abduction in sitting on training ball. Exercise 6: lying prone on foam ball with different abduction angles Maintenance phase. Duration of this phase is 1 week. Conventional treatment Hot Pack, Tens for 10 minutes Patient is assessed through baseline, week 1, week 2 and week 4.
| Study group | Role | What they receive |
|---|---|---|
| Eldova | Experimental | Elongation Longitudinaux Avec Decoaption Osteo Articulaire Receives: Other: ELDOA |
| Corrective exercises | Experimental | corrective exercises Receives: Other: ELDOA; Other: CORRECTIVE EXERCISES |
What is being measured
The primary outcome is the main question the study is designed to answer.
Lateral scapular slide test.
The scapular position is measured by taking the side to side differences between both sides in all 3 test positions. The measurements are taken from the inferior angle of the scapulae to the spinous process of the thoracic vertebrae on horizontal plane. The test is done in 3 positions, with the arm abducted to 0, 45 and 90 degrees in the coronal plane.
Position 1 involves placing the shoulder in neutral position, with the arms relaxed at the sides, Position 2 the humerus is placed in medial rotation and 45degree abduction, by positioning patients hands around the waist, Position 3 the humerus is placed in maximal rotation and 90degree abduction.
The Test is positive when there is a difference of 1.5 cm when measurements are compared bilaterally.
Measured: 4 weeks
Forward head posture (tragus to wall)
Horizontal distance between tragus of the ear and wall, standing with heels and buttocks against the wall (to prevent pivoting), knees extended and chin. Nine and half centimeter is normal anything greater than this value indicate FHP.
Measured: 4 weeks
Neck pain
is strongly associated with upper body dysfunction and can affect daily lives activities. To measure neck pain before and after treatment neck disability index questionnaire will be filled from participant's neck disability index questionnaire with score of more than 20%.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2024
- Study start1 May 2024
- Primary completion13 Dec 2024 (estimated)
- Study completion13 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Upper Cross SyndromeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 84 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dr. Mudassir Shah, MS-OMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06738238
- Sponsor's protocol ID
- Riphah/RCRAHS/REC/MS-PT/09136
- Status last verified
- Dec 2024
- First submitted
- 12 Dec 2024
- Last updated
- 17 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- To Compare Effects of Eldova Technique and Corrective Exercises in Upper Cross Syndrome
- ClinicalTrials.gov ID
- NCT06738238
- Acronym / sponsor ID
- Riphah/RCRAHS/REC/MS-PT/09136
- Conditions
- Upper Cross Syndrome
- Keywords
- Upper cross syndrome, ELDOA, Corrective exercises
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 84 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 May 2024 (actual)
- Primary completion
- 13 Dec 2024 (estimated)
- Study completion
- 13 Dec 2024 (estimated)
- First posted
- 17 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of the study is to compare the effects of ELDOA technique and corrective exercises in Upper cross syndrome. The study will be randomized control trial including two experimental groups having 42 participants in each group.
Detailed description
Musculoskeletal disorders are most common among people aged between 20 to 50 years with primary complaint of headache and neck pain due to their abnormal posture for prolong time. Upper cross syndrome refers to a specific muscles imbalance in upper quadrant of the body. Which brings postural deviation and may affects cervicothoracic and glenohumeral joints movements.Upper cross syndrome alters muscle activation pattern in the neck, trunk and scapula muscles and affect movement pattern of scapula along with postural deviation. These abnormalities lead to various musculoskeletal symptoms in the upper body.Upper cross syndrome is also referred as cervical cross syndrome is described as predictive pattern of alternative tightness and weakness of upper traps, pectoralis muscles, leavator scapulae, rhomboid, and serratus anterior and deep flexors of the neck. These muscles changes also alter the stability of glenohumeral joint stability which end up in more abduction due to the tightness of levator scapulae muscle.Due to the weakness of serratus anterior muscle, which affect the stability of scapula and alter the movement pattern of the scapula than lead to scapular dyskinesia.Scapular dyskinesia is a term that refers to, the alteration in the function and position of scapula. Scapular dyskinesis is further divided in two separates groups, static scapular positional(the asymmetry in the scapular resting position which can be observed by looking to the scapula in which inferior border is prominent and dynamic scapular stability (the alteration in the scapular motion with arm alleviation due alteration in scapular stabilizer muscles). The clinical assessment of scapula have three methods (A) direct observation (Lateral scapular slide test,(B) manually assisted movements(scapular assistance test),(C) assessment of surrounding structures. Scapula dyskinesia can be treated by stretching of the tight muscles and strengthening of the weak muscles. As mention earlier weakness of lower trap, med trap, serratus anterior and tightness of upper trap, pects muscles and levator scapulae occur with upper cross syndrome which can lead to scapula alteration, rounded shoulder and forward head posture. Due to abnormal posture of cervical in upper cross syndrome can cause forward head syndrome . Hyperextension of upper cervical(C1/C2) and hyper flexion of lower cervical (C3-C7) is referred to Forward head posture. Many studies have been conducted regarding treatment of upper cross syndrome through stretching and strengthening but the gap in previous literature is that there is no study designed yet to evaluate and compare both eldova technique and corrective exercises. Current study had addressed the comparison of eldova technique and corrective exercises in upper cross syndrome with the aim of evaluating and identifying the most effective intervention for managing this specific condition, the integration of Eldova techniques and corrective exercises in Upper cross syndrome management offers a holistic approach that addresses both structural and functional aspects, aiming for optimal outcomes in pain relief, postural correction, and functional restoration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Eldova | Experimental | Other: ELDOAElongation Longitudinaux Avec Decoaption Osteo Articulaire |
| Corrective exercises | Experimental | Other: ELDOA, Other: CORRECTIVE EXERCISEScorrective exercises |
Who may qualify
- Ages
- 15 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (4 listed)
- Male and Female subjects
- Age between 15 to 35 years
- Subjects with scapular dyskinesia
- Subject with rounded shoulders
Key exclusion criteria (3 listed)
- Subjects with cervical discogenic pain
- Subjects with spinal stenosis
- Cervical spine surgery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ELDOAIn this, each position will be maintained for 1 minute Level: C0/C1/C2 The patient is side lying with bottom arm folded under the head and maintain the neck in a horizontal position with the spine. the bottom leg is bent to stabilize the torso in a vertical position. Level: C4/C5 Patient lying in supine position and raise both hand arm towards the roof of the room with extended wrist. Bilateral knee to chest with planter flexion at ankle joint. Level: C5/C6 Same position as for c4/c5 with the arms will be elevated 120 degree Level C6/C7 Supine position with one arm abducted 90 degree and wrist joint at extension and the other hand abducted 30degrees with wrist joint at extension and one leg knee to chest and one leg raise with knee extension and planter flexion at ankle joint. Level: T4/T5 Quadruped position with one arm abducted 90degrees with wrist at extension Level: T6/T7. Conventional TX is Hot Pack, Tens for 10min. Patient is assessed through baseline, week 1, week 2 and week 4. | Other | Corrective exercises, Eldova |
| CORRECTIVE EXERCISESAll position will be held for 10 seconds. Initial phase Duration of this phase is 2 weeks. Exercise 1: lying supine on a foam roll with different abduction angles Exercise 2: side lying with external rotation Exercise 3: side lying with forward flexion Exercise 4: standing diagonal flexion Exercise 5: military press Improvement phase. Duration of this phase is 1 week we only add thera- band and dumbbells to the previously mentioned exercises Exercise 1: side lying external rotation with dumbbell Exercise 2: side lying forward flexion with dumbbell Exercise 3: standing diagonal flexion with thera-band Exercise 4: standing external rotation with thera band. Exercise 5: abduction in sitting on training ball. Exercise 6: lying prone on foam ball with different abduction angles Maintenance phase. Duration of this phase is 1 week. Conventional treatment Hot Pack, Tens for 10 minutes Patient is assessed through baseline, week 1, week 2 and week 4. | Other | Corrective exercises |
Primary outcome
Lateral scapular slide test.
Time frame: 4 weeks
The scapular position is measured by taking the side to side differences between both sides in all 3 test positions. The measurements are taken from the inferior angle of the scapulae to the spinous process of the thoracic vertebrae on horizontal plane. The test is done in 3 positions, with the arm abducted to 0, 45 and 90 degrees in the coronal plane. Position 1 involves placing the shoulder in neutral position, with the arms relaxed at the sides, Position 2 the humerus is placed in medial rotation and 45degree abduction, by positioning patients hands around the waist, Position 3 the humerus is placed in maximal rotation and 90degree abduction. The Test is positive when there is a difference of 1.5 cm when measurements are compared bilaterally.
Forward head posture (tragus to wall)
Time frame: 4 weeks
Horizontal distance between tragus of the ear and wall, standing with heels and buttocks against the wall (to prevent pivoting), knees extended and chin. Nine and half centimeter is normal anything greater than this value indicate FHP.
Neck pain
Time frame: 4 weeks
is strongly associated with upper body dysfunction and can affect daily lives activities. To measure neck pain before and after treatment neck disability index questionnaire will be filled from participant's neck disability index questionnaire with score of more than 20%.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Dec 2024.
- Treatment of Upper Crossed Syndrome: A Narrative Systematic ReviewLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dr. Mudassir Shah, MS-OMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ELDOA and CORRECTIVE EXERCISES in people with Upper Cross Syndrome, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 17 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Lateral scapular slide test. (time frame: 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Dec 2024.